OPTIMAL WELLNESS OF WEST HARTFORD,LLC (NPI# 1497127260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497127260 |
| Entity Type | Organization |
| Organization Name | OPTIMAL WELLNESS OF WEST HARTFORD,LLC |
| Other Organization Name | MEDI-WEIGHTLOSS CLINIC |
| Practice Address |
1001 Farmington Ave West Hartford CT 06107-2135 |
| Practice Telephone | 8602138365 |
| Mailing Telephone | 8602138365 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | LUIZA F PETRE (OWNER) |
| Authorized Official Telephone | 2125532700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
207R00000X | Allopathic & Osteopathic Physicians | |
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
207Q00000X | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medi-Weightloss Clinic | Doing Business As Name - Organization |
| Street Address |
1001 FARMINGTON AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821557026 | Stephanie Lamothe | Nurse Practitioner | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2019-03-18 |
| 1508311143 | Aaron Mele | Dietitian, Registered | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2016-08-24 |
| 1043620883 | Jessica L Haggett | Nurse Practitioner | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2014-05-01 |
| 1255566436 | Marcia White Leonard | Pediatrics | 1001 Farmington Ave, 301, West Hartford, CT 06107-2135 | 2009-05-18 |
| 1023281292 | Mch/russell Associates,llc | Counselor | 1001 Farmington Ave, Suite 304, West Hartford, CT 06107-2135 | 2008-04-09 |
| 1104001254 | Cheli Lange | Counselor | 1001 Farmington Ave, Suite 304, West Hartford, CT 06107-2135 | 2008-01-08 |
| 1568663854 | Kerri Lynn Cranford Baker | Psychologist | 1001 Farmington Ave, Suite 304, West Hartford, CT 06107-2135 | 2007-05-31 |
| 1801006010 | David Michael Russell | Psychologist | 1001 Farmington Ave, Suite 304, West Hartford, CT 06107-2135 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915779 | Naugatuck Valleyweightloss Center LLC | Family Medicine | 109 Boston Post Rd, Orange, CT 06477-3235 | 2015-06-22 |
| 1114367877 | Victoria Blank | Family Medicine | 400 Post Rd, Fairfield, CT 06824-6244 | 2013-06-26 |
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on OPTIMAL WELLNESS OF WEST HARTFORD,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.